Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.52 / $9.52 / $9.53	Facility	26	$9.52	$9.52	$9.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.78 / $23.78 / $43.99	Facility	TC	$23.78	$23.78	$43.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $29.53 / $49.89	Professional		$25.17	$29.53	$49.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $8.36 / $14.80	Professional	26	$7.23	$8.36	$14.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.90 / $37.40	Professional	TC	$17.67	$20.90	$37.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $8.56 / $11.35	Professional	26	$6.22	$8.56	$11.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $46.54 / $94.84	Professional		$11.95	$46.54	$94.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $12.78 / $12.78	Professional	26	$12.78	$12.78	$12.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $34.61 / $34.61	Professional	TC	$34.61	$34.61	$34.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $36.46 / $63.32	Professional		$22.12	$36.46	$63.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $10.19 / $19.75	Professional	26	$6.41	$10.19	$19.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $24.89 / $45.70	Professional	TC	$16.30	$24.89	$45.70
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.48 / $9.52 / $9.53	Facility	26	$6.48	$9.52	$9.53
Health Alliance Plan Facility/Professional Facility Modifier TC Low / Median / High Price $14.41 / $35.67 / $167.76	Facility	TC	$14.41	$35.67	$167.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.10 / $49.97	Professional		$20.89	$30.10	$49.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $8.61 / $15.75	Professional	26	$6.48	$8.61	$15.75
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $21.73 / $37.40	Professional	TC	$14.41	$21.73	$37.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $32.77 / $44.83	Professional		$26.17	$32.77	$44.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $29.59 / $43.87	Professional		$25.38	$29.59	$43.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.27 / $13.88	Professional	26	$7.66	$9.27	$13.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $20.93 / $29.99	Professional	TC	$17.48	$20.93	$29.99